A Report of a Case Involving Body Lateropulsion with Numbness of the Ipsilesional Fingers Caused by a Small Infarction in the Dorsal Part of the Middle Medulla

Based on the complexity of functional anatomy, a small infarction in the medulla can produce various types of clinical symptoms or signs depending on the location of this infarction. We describe the case of a 46-year-old man who presented with sudden onset of body lateropulsion to the left side and...

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Published inCase reports in neurology Vol. 10; no. 1; pp. 54 - 59
Main Authors Yamaoka, Yumiko, Kishishita, Sadahiro, Takayama, Yohei, Okubo, Seiji
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 15.02.2018
Karger Publishers
Subjects
Ataxia
Body lateropulsion
Canal paresis
Case Report
Case reports
Finger numbness
Fingers & toes
Infarction
Ischemia
Magnetic resonance imaging
Middle medulla
Paresis
VEMP
Body lateropulsion
Canal paresis
Infarction
Middle medulla
VEMP
Finger numbness
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Summary:Based on the complexity of functional anatomy, a small infarction in the medulla can produce various types of clinical symptoms or signs depending on the location of this infarction. We describe the case of a 46-year-old man who presented with sudden onset of body lateropulsion to the left side and numbness of the ipsilateral fingers. 3-tesla diffusion-weighted magnetic resonance imaging with a section thickness of 2 mm revealed a small infarction in the dorsal part of the left middle medulla. To our knowledge, this is the first case report describing vestibular dysfunction apparent upon otoelectrophysiological examination but without vestibular symptoms or signs except for body lateropulsion.
ISSN:1662-680X
1662-680X
DOI:10.1159/000486892